NPI age
20 years
Enumerated 2005-06-13
Across 237 active clinic/center providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0308DC | BCBS PROV # |
| 01 | 7907597 | AETNA/MEDSOLTIONS-HMO/PPO |
| 01 | 242880 | AMERIGROUP |
Multi-provider organization. 2 individual providers on file at this primary address.
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